Take a weekend off out of town. Do something to make himself winded. Go to a civilian ER with SOB and chest pain. Chest pain pts are priority. A chest X-ray should be part of the work up. But throw in some left arm/jaw pain or numbness for the added impression of heart attack. Should get a cardiac and somewhat of a pulmonary work up. This could extend his deadline—possibly. Be sure to include his pulmonary damage d/t the denguefever. Be prepared to spend the nite. Take advantage and let the chips fall as they will. Very often we have to tell patients to leave our rural area and travel to the city and go straight to the ER even when we have a diagnosis especially when pts are uninsured and their need is a specialty unavailable in the local area.
Take a weekend off out of town. Do something to make himself winded. Go to a civilian ER with SOB and chest pain. Chest pain pts are priority. A chest X-ray should be part of the work up. But throw in some left arm/jaw pain or numbness for the added impression of heart attack. Should get a cardiac and somewhat of a pulmonary work up. This could extend his deadline—possibly. Be sure to include his pulmonary damage d/t the denguefever. Be prepared to spend the nite. Take advantage and let the chips fall as they will. Very often we have to tell patients to leave our rural area and travel to the city and go straight to the ER even when we have a diagnosis especially when pts are uninsured and their need is a specialty unavailable in the local area.